US5045537A

US5045537A - Hydrophilic renin inhibitors, their preparation and use

Info

Publication number: US5045537A
Application number: US07/244,220
Authority: US
Inventors: Beat Weidmann
Original assignee: Sandoz AG
Current assignee: Sandoz AG
Priority date: 1987-09-15
Filing date: 1988-09-14
Publication date: 1991-09-03
Anticipated expiration: 2008-09-14
Also published as: FR2620451B1; GB8821442D0; GB2209752B; JPH01151544A; IT1224742B; IT8848347A0; FR2620451A1; DE3830825A1; GB2209752A; CH677672A5; BE1003071A5

Abstract

Hydrophilic renin inhibitors, especially of formula ##STR1## wherein R₁, W, o, m, n, A, B, C and D possess the definitions given in claim 2, processes for their production and their use in the treatment of hypertension, cardiac insufficiency and the treatment of diseases caused by retroviruses.

Description

The present invention relates to novel hydrophilic renin inhibitors, their preparation and use as well as pharmaceutical compositions containing them.

Especially the invention provides hydrophilic renin inhibitors of formula ##STR2## wherein W is --O--, --NR₂ -- or --CH₂, whereby R₂ signifies hydrogen or a straight-chain or branched (C_1-5)alkyl radical,

R₁ is hydrogen, a straight-chain or branched (C_1-20)alkyl radical or a sugar radical which is bonded as a glycoside; an optionally substituted, saturated or unsaturated, straight-chain or branched (C_2-30)alkylcarbonyl group, (C_3-6)polyhydroxyalkylcarbonyl-, a phosphoroyl-, a bis-(dimethylamino)-phosphoroyl-, a sulpho-, an aroyl-, a heteroaroyl-, an arylalkyl-, an arylalkylcarbonyl-, a heteroarylalkylcarbonyl-or a biotinyl group, or

R₁ signifies a group of formula ##STR3## wherein R₁₅ is hydrogen or a side chain of a D- or L-amino acid, and

R₁₆ and R₁₇ are the same or different and respectively signify hydrogen, (C_1-5)alkyl, (C_2-5)hydroxyalkyl or (C_2-5)aminoalkyl, or

R₁ signifies a group of formula ##STR4## wherein R₁₆ and R₁₇ are defined as above,

p denotes a whole number from 0 to 5 and

E signifies a bond or the group ##STR5## or R₁ signifies a group of formula

F--(CH.sub.2).sub.p --E--

wherein

p and E are defined as above, and

F denotes groups of formulae ##STR6## whereby R₂ is defined as above,

m is a whole number from 1 to 20,

n is a whole number from 0 to 5, and

o is 2 or 3,

A, B and C are the same or different and signify a bond or a group of formula ##STR7## wherein R₂ is defined as above, and

R₃ signifies a hydrophilic or lipophilic amino acid side chain, or

R₂ and R₃ together form a --(CH₂)_o -- chain, wherein o is defined as above,

D signifies either a group of formula ##STR8## wherein R₄ has the same significance as R₃,

R₅ is a hydroxyl or an amino group, and

R₆ is hydrogen, or

R₅ and R₆ together form an oxo group,

R₇ and R₈, independently of one another, signify fluorine or hydrogen,

R₉ and R₁₀ are the same or different and respectively signify hydrogen, a straight-chain or branched (C_1-5)-alkyl radical, or they respectively signify a group of formula ##STR9## wherein R₁₁ signifies a straight-chain or branched (C_1-5)-alkyl radical or a straight-chain or branched (C_1-5)-hydroxyalkyl radical,

R₁₂ is a hydroxyl radical, a straight-chain or branched (C_1-5)-alkoxy group, an amino group or a (C_1-5)-alkylamino group, an aminomethylpyridyl group, a benzyl group or a group of formula ##STR10## wherein R₁ and m are defined as above, or R₁ denote a protected or unprotected amino acid,

X signifies a bond, or denotes ##STR11## wherein R₁₃ and R₁₄, independently of one another, denote hydrogen or fluorine, or respectively possess the definition given above for R₃, or

D signifies a group of formula ##STR12## wherein R₄, R₅, R₉, R₁₀ and X possess the definitions given above, and

Z is ##STR13## or D signifies a group of formula ##STR14## wherein R₄, R₁₁ and R₁₂ possess the definitions given above, and their salts.

Asymmetrically substituted carbon atoms may have R- or S-configuration. The configurations given in the following formula I^y are preferred. The hydrophilic renin inhibitors are referred to hereinafter as compounds according to the invention.

In contrast to the conventional renin inhibitors, the compounds according to the invention are notable for advantageous hydrophilic properties, and are even partly water-soluble. The compounds according to the invention have high affinity for human renin even in the presence of plasma protein (i.e. they are only weakly bonded to plasma protein such as albumin etc.). These properties allow the compounds according to the invention to be advantageously differentiated from previously known renin inhibitors.

In R₁ of formula I a straight-chain or branched alkyl is especially an alkyl with 1 to 5 carbon atoms, especially ethyl, propyl or isobutyl, the sugar radical which is bonded as a glycoside is for example glucopyranosyl which may be optionally O-acylated, e.g. tetra-O-acetyl-glucopyranosyl, an optionally substituted saturated or unsaturated (C_2-30)alkylcarbonyl group is in particular a corresponding (C_4-20)alkylcarbonyl group, for example a palmitoyl, oleyl, linoyl, stearoyl or pivaloyl radical, whereby the alkylcarbonyl group may be substituted by a cyclopentaphenanthrene radical and may denote a cholyl radical, a (C_3-6)polyhydroxyalkylcarbonyl radical is for example a glycerinoyl or a gluconoyl radical which may be optionally substituted, and may be for example a penta-O-acetylgluconoyl or dibutyroylglycerinoyl radical, an aroyl radical is for example the benzoyl radical, a heteroaroyl is for example the 2-, 3- or 4-pyridoyl radical, especially a 3-pyridoyl radical, an arylalkyl radical is for example the benzyl, phenethyl, naphthylmethyl, p-chlorophenoxypropyl-2 radical, an arylalkylcarbonyl radical is for example a phenylacetyl, bis(1-naphthylmethyl)acetyl or p-chlorophenoxy-1,1-dimethylacetyl radical, a heteroarylalkylcarbonyl group is for example a bis-( 3-pyridylmethyl)acetyl or a bis(4-quinolinylmethyl)acetyl radical. In R₁₅, a side chain of a D- or L-amino acid is in particular methyl, isopropyl, isobutyl, benzyl, hydroxy(C_1-5)alkyl, 4-aminobutyl or 2-carboxyethyl.

The hydrophilic or lipophilic amino acid side chain in the definition of R₃ may be for example a isopropyl, n-butyl, isobutyl, 2-butenyl, benzyl optionally substituted in paraposition by a methoxy group, a 4-imidazolylmethyl, 2-methylthioethyl, methylthiomethyl, trimethylsilylmethyl, cyclohexylmethyl, a 2-thienylmethyl-, an 1-adamantylmethyl or a pyridylmethyl radical or a halogen like e.g. chlorine.

Hydroxyalkyl with 1 to 5 carbon atoms is preferably hydroxyethyl or hydroxypropyl, and an alkoxy group with 1 to 5 carbon atoms preferably signifies methoxy or ethoxy.

Preferred compounds of formula I possess formula I^y ##STR15## wherein R₁ ^y signifies hydrogen, methyl or glucopyranosyl,

m^y signifies a whole number from 2 to 7 and

n^y signifies 0 or 1,

A^y signifies a bond or proline,

B^y signifies a group of formula ##STR16## whereby R₃ ^y signifies cyclohexylmethyl, benzyl, trimethylsilylmethyl, p-methoxybenzyl, 1-adamantylmethyl or isobutyl.

C^y signifies a group of formula ##STR17## whereby R₃ ^y' is n-butyl, isobutyl, 2-butenyl, benzyl, 4-imidazolylmethyl or pyridylmethyl.

D^y is a group of formula ##STR18## wherein R₄ ^y is isobutyl, benzyl or cyclohexylmethyl, and either

R₅ ^y signifies a hydroxyl radical and

R₆ ^y signifies hydrogen where

R₇ ^y and R₈ ^y respectively denote hydrogen, or

R₅ ^y and R₆ ^y together form the oxo group where

R₇ ^y and R₈ ^y respectively denote fluorine,

X^y signifies a bond or a group of formula ##STR19## wherein either R₁₃ ^y and R₁₄ ^y respectively signify fluorine, or

R₁₄ ^y has the definition n-butyl, isobutyl, 2-butenyl, methylthiomethyl, benzyl, isopropyl or chlorine and

R₁₃ ^y denotes hydrogen,

R₉ ^y signifies hydrogen and

R₁₀ ^y signifies hydrogen, methyl, i-propyl, i-butyl, 2-butyl or a group of formula ##STR20## wherein R₁₁ ^y denotes i-butyl or 2-butyl and

R₁₂ ^y denotes aminomethylpyridyl.

The preparation of compounds of formula I is characterised in that

a) a compound of formula II, ##STR21## wherein R₁, W, o, m and n possess the definitions given above and Q denotes a hydroxyl or a p-nitrophenyl radical, is reacted with a compound of formula,

H--A--B--C--D                                              III

wherein A, B, C and D possess the definitions given above, or

b) a compound of formula I, wherein R₅ is a hydroxyl radical and R₆ is hydrogen, is oxidised to a compound of formula I, wherein R₅ and R₆ together form an oxo group.

The process according to stage a) is preferably effected such that an acid of formula II (Q=OH) is reacted with an amine of formula III using processes which are known in peptide chemistry, e.g. in the presence of N,N'-dicyclohexylcarbodiimide or N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide (whilst adding 1-hydroxybenzotriazole) in a suitable solvent such as methylene chloride, at temperatures between 0° and room temperature. Alternatively, activated acid derivatives (Q=p-nitrophenyl) can also be reacted directly with the amine at temperatures between 20° and 80°.

The process according to stage b) is effected such that alcohols of the compounds of formula I are oxidised with a chromium trioxide dipyridine complex (Collin's reagent) in a solvent such as methylene chloride or dimethylformamide, to form the corresponding ketone.

The starting compounds used in the above processes are either known or may be produced by known processes, for example as described in the following examples.

The compounds of formula I produced according to the invention may be isolated and purified by known processes. Racemic and/or diastereoisomeric mixtures can be separated in known manner.

If the compounds of formula I contain acidic or basic groups, they may optionally also form salts, for example metal salts such as sodium salts or acid addition salts such as hydrochlorides.

In the following examples, all temperatures are given in degrees celsius and are uncorrected.

The compounds given in abbreviated form in the examples are written out fully in claim 4 in order of the examples beginning with Example 2.

In the following examples, the following abbreviations are used:

______________________________________                                    
H-Bly-OH     (2S)-2-amino-hex-(4)-ene-carboxylic acid                     
3EG-OH       3,6,9,12-tetraoxatridecanoic acid                            
7EG-OH       3,6,9,12,15,18,21,24-octaoxa-pentacosanic                    
             acid                                                         
PEG-OH       oligomeric mixture of polyoxacarboxylic                      
             acids                                                        
H-SO.sub.2 Chatin-OH                                                      
             (2R,3S)-3-amino-4-cyclohexyl-2-hydroxy-                      
             butane-sulphonic acid                                        
H-Cha(OH)Bly-OH                                                           
             (2R,4S,5S)-5-amino-2-(E-2-butenyl)-6-                        
             cyclo-hexyl-4-hydroxy-caproic acid                           
H-Chatin-OH  (3S,4S)-4-amino-5-cyclohexyl-3-hydroxy-                      
             valeric acid                                                 
H-F.sub.2 Chatin-OH                                                       
             (3R,4S)-4-amino-5-cyclohexyl-2,2-difluoro-                   
             3-hydroxy-valeric acid                                       
H-F.sub.2 Chaton-OH                                                       
             (4S)-4-amino-5-cyclohexyl-2,2-difluoro-3-                    
             oxo-valeric acid                                             
H-Tmsal-OH   (2R)-2-amino-3-trimethylsilyl-propionic                      
             acid                                                         
H-4eg-OH     2,5,8,11,14-pentaoxamyristic acid                            
Glyc-OH      β-D-glucopyranoside                                     
AcGlyc-OH    2,3,4,6-tetraacetyl-β-D-glucopyranoside                 
Stear-OH     stearic acid                                                 
Linol-OH     linoleic acid                                                
Chol-OH      cholic acid                                                  
Dinac-OH     (bis-1-naphthylmethyl)-acetic acid                           
H-Cha-OH     (2S)-2-amino-3-cyclohexyl-propionic acid                     
H-Ada-OH     (2S)-2-amino-3-(1-adamantyl)-propionic                       
             acid                                                         
H-Thala-OH   (2S)-2-amino-3-(2-thienyl)propionic acid                     
Niacin       nicotinoyl                                                   
Tmpac        3,4,5-trimethoxyphenylacetyl                                 
Clof         (p-chlorphenoxy)dimethylacetyl                               
H-2eg-OH     2,5,8-trioxaoctanic acid                                     
H-3eg-OH     2,5,8,11-tetraoxaundecanic acid                              
H-Cha(OH)Bualy-OH                                                         
             (2R,4S,5S)-5-amino-2-N-butyl-amino-6-                        
             cyclo-hexyl-4-hydroxy-capronic acid                          
α-Pic  2-aminomethyl-pyridine                                       
______________________________________

EXAMPLE 1 Peg-Phe-His-SO₂ Chatin-NH₂

35 mg of H-Phe-His-SO₂ Chatin-NH₂ are reacted in 0.5 ml of tetrahydrofuran with 10 mg of hydroxybenzotriazole, 60 mg of PEG-OH and 13 mg of N,N'-dicyclohexylcarbodiimide. After 15 hours, the precipitated dicyclohexylurea is filtered off, and the crude product is chromatographed on silica gel with methanol/methylene chloride (5:95).

EXAMPLE 2 7EG-Phe-His-Cha(OH)Bly-NHBu

55 mg of H-Phe-His-Cha(OH)Bly-NHBu are reacted analogously to example 1 with 20 mg of hydroxybenzotriazole, 33 mg of 7EG-OH and 18 mg of N,N'-dicyclohexylcarbodiimide in 0.5 ml of dimethylformamide. The crude product is precipitated from methanol/methylene chloride/ether. [α]_D ²⁰ =-20.9° (c=0.2 in CH₂ Cl₂).

EXAMPLE 3 7EG-Phe-Nle-Chatin-Leu-α-picoline

100 mg of H-Phe-Nle-Cha-Leu-α-picoline are reacted analogously to example 1 with 20 mg of hydroxybenzotriazole, 59 mg of 7EG-OH and 31 mg of N,N'-dicyclohexylcarbodiimide. The product is crystallised from methylene chloride/ether/hexane. [α]_D ²⁰ =-4.8° (c=0.1 in CH₂ Cl₂).

EXAMPLE 4 3EG-Phe-Nle-Chatin-Leu-α-picoline

100 mg of H-(Phe)-Nle-Chatin-Leu-α-picoline are reacted exactly as in example 1 with 20 mg of hydroxybenzotriazole, 33 mg of 3EG-OH and 31 mg of N,N'-dicyclohexylcarbodiimide. [α]_D ²⁰ =-5.2° (c=0.1 in CH₂ Cl₂).

EXAMPLE 5 7EG-Pro-Phe-Nle-Chatin-Leu-α-picoline

78 mg of H-Pro-Phe-Nle-Chatin-Leu-α-picoline are reacted analogously to example 1 with 20 mg of hydroxybenzotriazole, 40 mg of 7EG-OH and 20 mg of N,N'-dicyclohexylcarbodiimide. The crude product is chromatographed on silica gel with methanol/methylene chloride (5:95). [α]_D ²⁰ =-30.3° (c=0.6 in CH₂ Cl₂).

EXAMPLE 6 7EG-Tmsal-Bly-F₂ Chatin-NHiBu

59 mg of H-Tmsal-Bly-F₂ Chatin-NHiBu are reacted analogously to example 1 in 1 ml of methylene chloride/tetrahydrofuran (9:1) with 29 mg of hydroxybenzotriazole, 43 mg of 7EG-OH and 23 mg of N,N'-dicyclohexylcarbodiimide. The product is then chromatographed with methanol/methylene chloride (1 to 10%). [α]_D ²⁰ =-18.8° (c=1.8 in CH₂ Cl₂).

EXAMPLE 7 7EG-Tmsal-Bly-F₂ Chaton-NHiBu

23 mg of the title compound of example 6 are dissolved in 1 ml of dry methylene chloride, and mixed with 130 mg of Collin's reagent. After 30 minutes, the product is filtered over silica gel, washed with ethyl acetate and concentrated by evaporation. [α]_D ²⁰ =-20.6° (c=0.3 in CH₂ Cl₂).

EXAMPLE 8 3EG-Phe-His-Cha(OH)Bly-NHBu

223 mg of H-Phe-His-Cha(OH)Bly-NHBu in 2 ml of dimethylformamide are reacted analogously to example 1 with 60 g of hydroxybenzotriazole, 85 mg of 3EG-OH and 80 mg of N,N'-dicyclohexylcarbodiimide. The crude product is purified on silica gel with methanol/methylene chloride (5:95). [α]_D ²⁰ =-23.2° (c=0.15 in CH₂ Cl₂).

EXAMPLE 9 7EG-Phe-Nle-Cha(OH)Bly-NHBu

200 mg of H-Phe-Nle-Cha(OH)Bly-NHBu are reacted analogously to example 1 in 2 ml of dimethylformamide with 50 mg of hydroxybenzotriazole, 140 mg of 7EG-OH and 70 mg of N,N'-dicyclohexylcarbodiimide. The crude product is crystallised from methylene chloride/ether/hexane. [α]_D ²⁰ =-31.3° (c=0.1 in CH₂ Cl₂).

EXAMPLE 10 AcGlyc-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

115 mg of AcGlyc-4eg-p-nitrophenol are refluxed for 24 hours with 100 mg of H-Phe-Nle-Cha(OH)GlyNH-Bu in 5 ml of tetrahydrofuran, whilst adding 20 mg of dimethylaminopyridine and 20 mg of N-methylmorpholine. The crude product is dissolved in ethyl acetate, extracted with aqueous Na-bicarbonate solution, dried over magnesium sulphate, concentrated by evaporation and recrystallised from methylene chloride/ether. The title compound has a [α]_D ²⁰ =-80° (c=0.05 in CH₂ Cl₂).

EXAMPLE 11 Glyc-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

100 mg of the tetraacetate of example 10 are dissolved in 1 ml of methanol, and mixed with a few drops of a 5% solution of sodium methylate in methanol. After 1 hour, the product is diluted with ethyl acetate, washed with aqueous Na bicarbonate solution, dried over magnesium sulphate, concentrated by evaporation and crystallised from methanol/methylene chloride/ether. The title compound has a [α]_D ²⁰ =-33.6° (c=0.1 in MeOH/CH₂ Cl₂ [1:1]).

EXAMPLE 12 Stear-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

340 mg of stear-4eg-p-nitrophenol are reacted analogously to example 10 with 290 mg of H-Phe-Nle-Cha(OH)BlyNH-Bu, 60 mg of N-methylmorpholine and 30 mg of dimethylaminopyridine. The crude product is chromatographed with 2% methanol in methylene chloride and crystallised from methylene chloride/ether. The title compound has a [α]_D ²⁰ =-18.0° (c=0.15 in CH₂ Cl₂).

EXAMPLE 13 H-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

32 mg of the stearate of example 12 are cleaved with sodium methylate in methanol analogously to example 11. The title compound has a [α]_D ²⁰ =-24.3° (c=0.1 in CH₂ Cl₂).

EXAMPLE 14 Linol-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

450 mg of linol-4eg-p-nitrophenol are reacted analogously to example 10 with 400 mg of H-Phe-Nle-Cha(OH)BlyNH-Bu, 90 mg of N-methylmorpholine and 30 mg of dimethylamino-pyridine. After chromatography on silica gel with 3% methanol in methylene chloride, there follows recrystallisation from methylene chloride/ether. The title compound has a [α]_D ²⁰ =-17.1° (c=0.15 in CH₂ Cl₂).

EXAMPLE 15 Dinac-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

525 mg of dinac-4eg-p-nitrophenol are reacted analogously to example 10 with 400 mg of H-Phe-Nle-Cha(OH)BlyNH-Bu, 80 mg of N-methylmorpholine and 30 mg of dimethylaminopyridine. The product is chromatographed with 6% methanol in methylene chloride and is crystallised from methylene chloride/ether. The title compound has a [α]_D ²⁰ =-16.8° (c=0.15 in CH₂ Cl₂).

EXAMPLE 16 Chol-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

600 mg of chol-4eg-p-nitrophenol are reacted exactly as in example 10 with 300 mg of H-Phe-Nle-Cha(OH)BlyNH-Bu, 70 mg of N-methylmorpholine and 30 mg of dimethylaminopyridine. The crude product is recrystallised from methanol/methylene chloride/ether.

EXAMPLE 17 BOC-Gly-4eg-Phe-Nle-Cha(OH)BlyNH-Bu

540 mg of BOC-Gly-4eg-p-nitrophenol are reacted analogously to example 10 with 500 mg of H-Phe-Nle-Cha(OH)BlyNH-Bu, 110 mg of N-methylmorpholine and 30 mg of dimethylaminopyridine. The crude product is recrystallised from methylene chloride/ether. The title compound has a [α]_D ²⁰ =-23.6° (c=0.1 in CH₂ Cl₂).

EXAMPLE 18 H-Gly-4eg-Phe-Nle-Cha(OH)BlyNH-Bu.HCl

400 mg of the title compound of example 17 are dissolved in 4 ml of methylene chloride and mixed at 0°-5° with 4 ml of trifluoroacetic acid. After 1/2 hour, the solution is partitioned between aqueous 2N soda solution and methylene chloride, the organic phase is dried over potassium carbonate and concentrated by evaporation. The residue is dissolved in methanol, mixed with 0.1 ml of conc. hydrochloric acid, concentrated by evaporation and crystallised from methanol/methylene chloride/ether. The title compound has a [α]_D ²⁰ =-30.0° (c=0.1 in MeOH/CH₂ /Cl₂ [1:1]).

EXAMPLE 19 3EG-Cha-His-Cha(OH)BlyNH-Bu

500 mg of H-Cha-His-Cha(OH)BlyNH-Bu are reacted analogously to example 1 with 200 mg of 3EG-OH, 120 mg of 1-hydroxybenzotriazole and 0.13 ml of dicyclohexylcarbodiimide in dimethylformamide. The crude product is chromatographed with 10% methanol/methylene chloride, and is crystallised from methanol/methylene chloride/ether. The title compound has a [α]_D ²⁰ =-34.0° (c=0.1 in MeOH/CH₂ Cl₂ [1:1]).

EXAMPLE 20 (2S,3S)-3-(3EG-Phe-Nle)-amido-1-(isopropylcarbamoyl)amino-4-cyclohexyl-2-butanol

The title compound is obtained analogously to example 4 from 284 mg of (2S,3S)-3-(H-Phe-Nle)amido-1-(isopropylcarbamoyl)-amino-4-cyclohexyl-2-butanol.hydrochloride, (obtainable by means of BOC cleavage according to known processes from (2S,3S)-3-(N-BOC-Phe-Nle-)amido-1-(isopropylcarbamoyl)amino-4-cyclohexyl-2-butanol), 111 mg of 3EG-OH, 156 mg of 1-hydroxybenzotriazole, 99 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.hydrochloride and 0.07 ml of triethylamine. It has a m.p. of 125°-128°, [α]_D ²⁰ =-12.4° (c=1 in methanol).

The starting compound used in example 20, (2S,3S)-3-(N-BOC-Phe-Nle)amido-1-(isopropylcarbamoyl)amino-4-cyclohexyl-2-butanol, is obtained as follows:

A solution of 273 mg of (2S,3S)-1-amino-3-(N-BOC-phenylalaninylnorleucyl)-amido-4-cyclohexyl-2-butanol in 10 ml of anhydrous tetrahydrofuran is mixed at 0° with 0.055 ml of isopropylisocyanate, stirred for 1 hour at room temperature and concentrated by evaporation under a high vacuum. Crystallisation of the residue from methylene chloride/methanol/hexane yields the title compound. M.p. 167°-168° C. (decomp.), [α]_D ²⁰ =-16.2° (c=1 in methanol).

The starting product used in this example may be produced as follows:

a) (2S,3S)-3-BOC-amino-1-Cbz.-amino-4-cyclohexyl-2-butanol

4.18 ml of benzyl chloroformate are added at a temperature of 2° to 5° to a solution of 5.28 ml of triethylamine and 6.3 g of (2S,3S)-1-amino-3-BOC-amino-4-cyclohexyl-2-butanol in 120 ml of dichloromethane, and the solution obtained is stirred for 30 minutes at room temperature. The solution is then diluted with dichloromethane and washed with 0.25N hydrochloric acid, saturated aqueous sodium bicarbonate solution and water. The organic phase is dried over sodium sulphate and evaporated under vacuum. Chromatography of the residue on silica gel using toluene/ethyl acetate (3:1) as the eluant yields (2S,3S)-3-BOC-amino-1-Cbz-amino-4-cyclohexyl-2-butanol as a slightly yellowish oil.

b) (2S,3S)-3-amino-1-Cbz-amino-4-cyclohexyl-2-butanol

8.06 g of the (2S,3S)-compound obtained in section a) are added whilst cooling to 80 ml of the mixture of acetic acid/conc. hydrochloric acid (9:1), and the solution obtained is stirred at room temperature for 1 hour and then evaporated to dryness. The hydrochloride of the above title compound is thus obtained as a colourless foam.

c) (2S,3S)-3-(BOC-phenylalaninyl-norleucinyl)amino-1-Cbz-amino-4-cyclohexyl-2-butanol

4.06 ml of diphenylphosphoryl-azide and 4.94 ml of triethylamine are gradually added to an ice-cooled solution of 6.68 g of BOC-Phe-Nle-OH and 6.3 g of crude hydrochloride of the (2S,3S)-compound described in section b) in dimethylformamide, and the clear solution obtained is stirred over night at room temperature, then concentrated under vacuum, taken up in dichloromethane, and the dichloromethane solution is washed with 0.25N hydrochloric acid, saturated aqueous sodium bicarbonate solution and water, and dried over anhydrous sodium sulphate. After evaporation under vacuum, the residue is chromatographed on silica gel [dichloromethane/ethanol (49:1) as the eluant] and the product obtained is crystallised from dichloromethane/hexane. The title compound thus obtained melts at 167°-168° (decomp.).

d) (2S,3S)-1-amino-3-(BOC-phenylalaninyl-norleucinyl)-amino-4-cyclohexyl-2-butanol

7.0 g of the (2S,3S)-compound obtained in section c) and 0.7 g of palladium on active charcoal (10%) in 140 ml of methanol are hydrogenated for 11/2 hours at room temperature in a hydrogen atmosphere at atmospheric pressure, and the mixture is subsequently diluted with dichloromethane and filtered through Celite. After evaporation of the filtrate under vacuum and crystallisation of the residue from methanol/ether, the title compound is obtained as colourless crystals having a m.p. of 140°-141°, [α]_D ²⁰ =-38.5° (c=1 in methanol).

EXAMPLE 21 3EG-Tmsal-His-Cha(OH)Bly-NHBu

500 mg of H-Tmsal-His-Cha(OH)Bly-NHBu are reacted analogously to example 1 in dimethylformamide with 206 mg of 3EG-OH, 110 mg of hydroxybenzotriazole and 144 mg of diisopropylcarbodiimide. The crude product is chromatographed with methanol/methylene chloride (2-10%). [α]_D ²⁰ =-27.6° (c=0.1 in CH₂ Cl₂).

EXAMPLE 22 Clof-4eg-Phe-Nle-Cha(OH)Bly-NHBu

700 mg of H-Phe-Nle-Cha(OH)Bly-NHBu and 700 mg of Clof-4eg-p-nitrophenol are dissolved in a small amount of dimethylformamide and after addition of 50 mg of 4-dimethylaminopyridine the mixture is heated to 40° during 15 hours. After partitioning between ethylacetate and a saturated aquous sodium bicarbonate solution the organic phase is separated, dried and evaporated. The crude product is recrystallised from methylene chloride/methanol/ether. [α]_D ²⁰ =-16.7° (c=0.8 in CH₂ Cl₂).

EXAMPLE 23 7EG-Tmsal-His-Cha(OH)Bly-NHBu

500 mg of H-Tmsal-His-Cha(OH)Bly-NHBu are reacted analogously to example 1 in a small amount of dimethylformamide with 338 mg of 7EG-OH, 110 mg of hydroxybenzotriazole and 131 ml of diisopropylcarbodiimide. The crude product is chromatographed with methanol/methylene chloride (5:95). The title compound has a [α]_D ²⁰ =21.0° (c=0.1 in CH₂ Cl₂).

EXAMPLE 24 Me3eg-Tmsal-His-Chatin-Leu-α-Pic

700 mg of H-Tmsal-His-Chatin-Leu-α-Pic are reacted analogously to example 22 with 350 mg of Me3eg-p-nitrophenol and 500 mg of 4-dimethylaminopyridine. The crude product is chromatographed with methanol/methylene chloride (1-10%). The title compound has a [α]_D ²⁰ =-26.5° (c=0.2 in CH₂ Cl₂).

EXAMPLE 25 Me3eg-Tmsal-(Me3eg)His-Chatin-Leu-α-Pic

According to example 24 the title compound acylated on the histidine moiety is obtained as by product. [α]_D ²⁰ =-4.7° (c=0.8 in CH₂ Cl₂).

EXAMPLE 26 3EG-Phe-Nle-Cha(OH)CH₂ PO(OMe)₂

830 mg of H-Phe-Nle-CHa(OH)CH₂ PO(OMe)₂ in 15 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted with 310 mg of hydroxybenzotriazole, 330 mg of 3EG-OH and 300 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide-hydrochloride (EDCI). After 24 hours the mixture is evaporated and to the residue an aqueous sodium bicarbonate solution is added at 0°. The precipitate is dissolved in ethylacetate and the organic phase first washed with 2N hydrochloric acid and then with a saturated aqueous sodiumchloride solution. After drying over sodiumsulphate and evaporation the crude product is purified on silicagel with methylene chloride/ethanol (19:1). The title compound has a [α]_D ²⁵ =-38.7° (c=0.5 in CH₂ Cl₂).

EXAMPLE 27 Niacin-2eg-Tmsal-Nle-F₂ -Chatin-NHiBu

553 mg of H-Tmsal-Nle-F₂ -Chatin-NHiBu are reacted analogously to example 22 with 381 mg of Niacin-2eg-p-nitrophenol. The title compound has a [α]_D ²⁰ =-24.5° (c=0.1 in CH₂ Cl₂).

EXAMPLE 28 Niacin-2eg-Tmsal-Nle-F₂ -Chaton-NHiBu

600 mg of the title compound of example 27 are oxidised analogously to example 7 with 3.1 g of Collin's reagens. [α]_D ²⁰ =-32.6° (c=0.8 in CH₂ Cl₂).

EXAMPLE 29 Me(OCH₂ CH₂)₂ -Phe-Nle-Cha(OH)Bly-NHBu

100 mg of H-Phe-Nle-Cha(OH)Bly-NHBu are reacted in dimethylformamide with 50 mg of 3,6,9-trioxadecyljodide and 50 mg of ethyldiisopropylamine. After 100 hours the reaction product is isolated and chromatographed with methanol/methylene chloride (1-10%). [α]_D ²⁰ =-46.5° (c=0.15 in CH₂ Cl₂).

EXAMPLE 30 7EG-Tmsal-Nle-Chatin-Leu-α-Pic

400 mg of H-Tmsal-Nle-Chatin-Leu-α-Pic are reacted analogously to example 1 with 260 mg of 7EG-OH, 80 mg of hydroxybenzotriazole and 130 mg of N,N'-dicyclohexylcarbodiimide. The crude product is chromatographed with 5% methanol in methylene chloride. [α]_D ²⁰ =-3.9° (c=0.8 in CH₂ Cl₂).

EXAMPLE 31 Niacin-2eg-Tmsal-Nle-Chatin-Leu-α-Pic

500 mg of H-Tmsal-Nle-Chatin-leu-α-Pic are reacted analogously to example 22 in dimethylformamide with 300 mg of Niacin-2eg-p-nitrophenol. The crude product is cristallised from methylene chloride/ether. [α]_D ²⁰ =-27.2° [c=0.25 in CH₂ Cl₂ /MeOH (1:1)].

EXAMPLE 32 H-2eg-Tmsal-Nle-F₂ -Chaton-NHiBu

32 mg of the title compound of example 28 are dissolved in methanol and hydrolised with 4 mg sodiumhydroxide. The reaction mixture is partitioned between aqueous sodium bicarbonate and methylene chloride, the organic phase dried and evaporated [α]_D ²⁰ =-27.1° (c=0.6 in CH₂ Cl₂).

EXAMPLE 33 3EG-Phe-Cha(OH)Bualy-NHBu

325 mg of H-Phe-Nle-Cha(OH)Bualy-NHBu in 6 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 193 mg of hydroxybenzotriazole, 118 mg of 3EG-OH and 210 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is purified on silicagel with methylene chloride/ethanol (19:1). [α]_D ²⁵ =-18.7° (c=0.475 in CH₂ Cl₂).

EXAMPLE 34 Tmpac-2eg-Tmsal-Nle-F₂ -Chatin-NHiBu

440 mg of H-Tmsal-Nle-F₂ -Chatin-NHiBu are reacted analogously to example 22 with 370 mg of H-Tmpac-2eg-p-nitrophenol. The crude product is purified by chromatography on silicagel. [α]_D ²⁰ =-19.3° (c=0.1 in CH₂ Cl₂).

EXAMPLE 35 Tmpac-2eg-Tmsal-Nle-F₂ -Chaton-NHiBu

20 mg of title compound of example 34 are oxidised analogously to example 7 with 100 mg of Collin's reagens. [α]_D ²⁰ =-21.0° (c=0.2 in CH₂ Cl₂).

EXAMPLE 36 3EG-Ada-Nle-Cha(OH)CH₂ CHCl-NHBu

352 mg of H-Ada-Nle-Cha(OH)CH₂ CHCl-NHBu.HCl in 3.5 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 120 mg hydroxybenzotriazole, 0.0815 ml of N-ethylmorpholine, 174 mg of 3EG-OH and 105 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is purified on silicagel (Lichroprep 25-40) with methylene chloride/ethanol (49:1). [α]_D ²⁰ =-14.9° (c=0.53 in CH₂ Cl₂).

EXAMPLE 37 3EG-Tmsal-Nle-Cha(OH)Bly-NHBu

502 mg of H-Tmsal-Nle-Cha(OH)Bly-NHBu in 2.3 ml of tetrahydrofurane/dimethylformamide (1:1) are reacted analogously to example 26 with 208 mg of hydroxybenzotriazole, 151 mg of 3EG-OH and 143 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is cristallised from methylene chloride/hexane. [α]_D ²⁰ =-31.4° (c=0.50 in CH₂ Cl₂).

EXAMPLE 38 3EG-Tmsal-Nle-Cha(OH)CH₂ CHCl-NHBu

338 mg of H-Tmsal-Nle-Cha(OH)CH₂ CHCl-NHBu.HCl in 3.7 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 127 mg of hydroxybenzotriazole, 0.0862 ml of N-ethylmorpholine, 184 mg of 3EG-OH and 111 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is chromatographed on silica gel (Lichroprep RP-18, 40-63) with methanol/water (8:2). [α]_D ²⁵ =-22.8° (c=0.6 in CH₂ Cl₂).

EXAMPLE 39 3EG-Ada-Nle-Cha(OH)CH₂ CHF-NHBu

490 mg of H-Ada-Nle-Cha(OH)CH₂ CHF-NHBu.HCl in 5.0 ml dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 172 mg of hydroxybenzotriazole, 0.0986 ml of N-methylmorpholine, 248 mg of 3EG-OH and 150 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is purified on silicagel (Lichroprep RP-18, 40-63) with acetonitrile/water (8:2). [α]_D ²⁵ =-21.8° (c=0.33 in CH₂ Cl₂).

EXAMPLE 40 3EG-Phe-Nle-Cha(OH)CH₂ CHCl-NHBu

614 mg of H-Phe-Nle-Cha(OH)CH₂ CHCl-NHBu.HCl in 6.5 ml dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 224 mg of hydroxybenzotriazole, 0.127 ml of N-Methylmorpholine, 324 mg of 3EG-OH and 196 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is cristallised from ethanol/ether/hexane. [α]_D ²⁵ =-19.8° (c=0.555 in MeOH).

EXAMPLE 41 3EG-Ada-Nle-Cha(OH)Fala-NHBu

280 mg of H-Ada-Nle-Cha(OH)Fala-NHBu in 2.8 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 96 mg of hydroxybenzotriazole, 0.055 ml of N-methylmorpholine, 139 mg of 3EG-OH and 84 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is purified on silicagel with methylene chloride/ethanol (49:1). [α]_D ²⁵ =-35.4° (c=0.48 in CH₂ Cl₂).

EXAMPLE 42 3EG-Cha(OH)Bly-NHBu

340 mg of H-Cha(OH)Bly-NHBu, 220 mg of 3EG-OH, 310 mg of N,N'-dicyclohexylcarbodiimide and 310 mg of 1-hydroxybenzotriazole are reacted in 10 ml of dimethylformamide analogously to example 1. [α]_D ²⁰ =-22.7° (c=1 in methylene chloride).

EXAMPLE 43 3EG-Ada-Nle-Cha(OH)CH₂ CH(N₃)-NHBu

387 mg of H-Ada-Nle-Cha(OH)CH₂ CH(N₃)-NHBu in 3.9 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 135 mg of hydroxybenzotriazole, 196 mg of 3EG-OH and 118 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is chromatographed on neutral aluminiumoxide (akt. III) with methylene chloride/ethanol (19:1). The title product is lyophilisated with benzene. [α]_D ²⁵ =-16.4° (c=0.555 in CH₂ Cl₂).

EXAMPLE 44 3EG-Phe-Nle-Cha(OH)CH₂ CH(S-iPr)-NHBu

416 mg of H-Phe-Nle-Cha(OH)CH₂ CH(S-iPr)-NHBu in 4.5 ml of dimethylformamide/tetrahydrofurane (1:1) are reacted analogously to example 26 with 154 mg of hydroxybenzotriazole, 224 mg of 3EG-OH and 135 mg of N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide.HCl. The crude product is purified on neutral aluminiumoxide (akt. III) with methylene chloride/ethanol (49:1-19:1) and then crystallised from methylene chloride/ether/hexane. [α]_D ²⁵ =-17.1° (c=0.25 in MeOH).

EXAMPLE 45 3EG-His-Cha(OH)Bly-NHBu

440 mg of 3EG-OH, 1.15 g of H-His-Cha(OH)Bly-NHBu, 620 mg of 1-hydroxybenzotriazole and 420 mg of N,N'-dicyclohexylcarbodiimide are reacted in 20 ml of dimethylformamide analogously to example 1. M.p. 128°-130°, [α]_D ²⁵ =-33.0° (c=1 in methanol).

EXAMPLE 46 3EG-Thala-Nle-Chatin-Leu-α-Pic

260 mg of H-Thala-Nle-Chatin-Leu-α-Pic are reacted analogously to example 1 in 3 ml dimethylformamide with 100 mg of hydroxybenzotriazole, 84 mg of 3EG-OH and 78 mg of N,N'-dicyclohexylcarbodiimide. The crude product is chromatographed on silica gel with methylene chloride containing 7% ethanol. [α]_D ²⁰ =-16.7° (c=0.37 in ethanol).

The compounds according to the invention exhibit pharmacological activity and are, therefore, useful as pharmaceuticals.

They are inhibitors of renin activity, e.g. on human tetradecapeptide substrate at a concentration of 10^-5 M to 10^-11 M they inhibit the enzyme activity of pure human renin by 50% according to the method of F. Cumin et al. (Bioch. Biophys. Acta 913, 10 to 19 (1987)) or in a renin binding assay.

In the antibody-trapping method of K. Poulsen and J. Jorgensen (J. Clin. Endocrin. Metab. 39, [1974] 816-825), they inhibit human plasma renin activity at a concentration of 10^-5 M to 10^-11 M.

The compounds according to the invention are therefore useful for the prophylaxis and treatment of conditions which are characterised by enzymatic malfunction and for which an inhibition of enzymatic activity is indicated.

As renin inhibitors they are suitable e.g. for use in the prophylaxis and treatment of hypertension and cardiac insufficiency ("congestive heart failure").

The compounds which are preferred for the prophylaxis and treatment of hypertension and cardiac insufficiency are the title compounds of examples 2, 3, 8 to 11, 13, 18, 19, 21 and 46, especially of examples 8 to 11, 13, 21 and 46, particularly of examples 13, 21 and 46, most preferred the compound of example 46.

The title compound of example 46 is the most preferred compound for the renin inhibition, it has for example been determined in the antibody trapping test having the lowest inhibiting concentration 0,15 nM/l, the highest inhibiting concentration 15 nM/l, IC₅₀ =1,5 nM/l, it is therefore indicated that the compound of example 46 may be administered to larger mammals such as humans at daily dosage from 1 mg to 10 mg.

The compounds according to the invention exhibit also an antiretroviral activity and are therefore useful for the treatment of diseases caused by retroviruses including HTLV-I and -III. This activity can be demonstrated in the FeLV cat model [Cerny and Essex, CRC press in 1979, pp. 233-256; Cockerell et al., J. Natl. Cancer Inst. 57, 1095-1099 (1976); Cotter et al. J. Am. Vet. med. Assoc. 166, 449-453 (1975); Essex et al. Science 190, 790-792 (1975)]- a disease model for human AIDS.

It has been reported e.g. (25th ICAAC in Minneapolis, Sept. 30th-Oct. 2nd) that with a 30 mg treatment of 3'-azido-3'-deoxy-thymidine over 14 days a reduction of FeLV-titres by a factor of 10 could be shown, but no cure was achieved. On administration of the compounds of the invention, eradication of the virus can be observed. Dosage ranges for the anti-retro-viral activity are those conventionally employed and lie e.g. in the range of 5-20 mg/kg/day.

For above indications, the dosage to be administered depends on the compound respectively used, the type of administration and the desired treatment. In general, satisfactory results are obtained if the compounds are administered in a daily dosage of 0.02 mg/kg to ca. 20 mg/kg animal body weight. For larger mammals, for example humans an indicated daily dosage is from about 1 mg to about 500 mg, conveniently administered e.g. orally in doses of 0.25 mg to ca. 500 mg up to 4 times daily e.g. in divided form.

The compounds according to the invention may be administered in free form, or if acidic or basic groups are present, in pharmacologically acceptable salt form. Such salt forms have the same order of activity as the free forms and can be produced in known manner. The present invention similarly relates to pharmaceutical preparations containing a compound according to the invention in free form or in pharmaceutically acceptable salt form, optionally together with pharmaceutically adjuvants and/or carrier substances. Such pharmaceutical preparations may be formulated for use in enteral, preferably oral administration, e.g. at tablets, or for use in parenteral administration, e.g. as injectable solutions or suspensions. Further a nasal administration of the compounds according to the invention is also possible. An appropriate nasal spray can be prepared in a manner known per se.

Claims

What we claim is:

1. Hydrophilic renin inhibitors of formula ##STR22## wherein W is --O--, --NR₂ -- or --CH₂, whereby R₂ signifies hydrogen or a straight-chain or branched (C_1-5)alkyl radical,

R₁ is pyridinoyl;

R₂ is defined as above;

m is a whole number from 1 to 20,

n is a whole number from 0 to 5, and

o is 2 or 3,

A, B and C are the same or different and signify a bond or a group of formula ##STR23## wherein R₂ is defined as above, and

R₃ signifies a hydrophilic or lipophilic amino acid side chain, or

D signifies either a group of formula ##STR24## wherein R₄ has the same significance as R₃,

R₅ is hydroxyl or an amino group, and

R₆ is hydrogen, or

R₅ and R₆ together form an oxo group,

R₇ and R₈, independently of one another, signify fluorine or hydrogen;

R₉ and R₁₀ are the same or different and respectively signify hydrogen, a straight-chain or branched (C_1-5)-alkyl radical, or they respectively signify a group of formula ##STR25## wherein R₁₁ signifies a straight-chain or branched (C_1-5)-alkyl radical or a straight-chain or branched (C_1-5)-hydroxyalkyl radical;

R₁₂ is a hydroxyl radical, a straight-chain or branched (C_1-5)-alkoxy group, an amino group or a (C_1-5)-alkylamino group, an aminomethylpyridyl group, a benzyl group or a group of formula ##STR26## wherein R₁ and m are defined as above, or R₁ denote a protected or unprotected amino acid;

X signifies a bond or denotes ##STR27## wherein R₁₃ and R₁₄, independently of one another, denote hydrogen or fluorine, or respectively possess the definition given above for R₃, or

D signifies a group of formula ##STR28## wherein R₄, R₅, R₉, R₁₀ and X possess the definitions given above, and

Z is ##STR29## or D signifies a group of formula ##STR30## wherein R₄, R₁₁ and R₁₂ possess the definitions given above, and their salts.

2. A compound of the formula:

R.sub.1 --O--(CH.sub.2 CH.sub.2 O).sub.m --CO--A--B--C--D  (I)

wherein

R₁ is pyridoyl,

m is an interger of from 2 to 7,

A, B, and C are each independently a bond or a group of the formula ##STR31## where R₂ is hydrogen or straight or branched chain (C_1-5)alkyl and,

R₃ is cyclohexylmethyl, trimethylsilylmethyl, isobutyl, or 2-butenyl, and

D is a group of the formula ##STR32## where R₄ is the same as R₂,

R₅ is hydroxyl and R₆ is hydrogen or

R₅ and R₆ together are oxo,

R₇ and R₈ are each independently hydrogen or fluorine,

X is a bond,

R₉ is hydrogen and

R₁₀ is straight or branched chain (C_1-5)alkyl or a group of the formula ##STR33## where R₁₁ is straight or branched chain (C_1-5)alkyl and

R₁₂ is aminomethylpyridyl.

3. The compound according to claim 2, which is (3R,4S,7S,10R)-5,8,11-triaza-7-butyl-4-cyclohexylmethyl-2,2-difluoro-3-hydroxy-19-nicotinoyl-10-trimethylsilymethyl-13,16,19-trioxa-6,9,12-trioxo-nonadecanic acid isobutylamide.

4. The compound according to claim 2, which is (4S,7S,10R)-5,8,11-triaza-7-butyl-4-cyclohexylmethyl-2,2-difluoro-19-nicotinoyl-10-trimethylsilymethyl-13,16,19-trioxa-3,6,9,12-tetraoxo-nonadecanic acid isobutylamide.

5. The compound according to claim 2, which is (3S,4S,7S,10R)-5,8,11-triaza-7-butyl-4-cyclohexylmethyl-3-hydroxy-19-nicotinoyl-10-trimethylsilylmethyl-13,16,19-trioxa-6,9,12-trioxo-nonadecanoyl-(L)-leuzine-(2-picolylamide).

6. A method of preventing or treating diseases caused by retroviruses which comprises administering to an animal in need of such treatment a therapeutically effective amount of a compound of claim 1.

7. A pharmaceutical composition useful in treating diseases caused by retroviruses comprising an appropriate amount of a compound of claim 1 in free form or in pharmaceutically acceptable salt form, in association with a pharmaceutical carrier or diluent.